US9943514B2ActiveUtilityA1
Methods for treating antipsychotic-induced weight gain
Est. expiryAug 23, 2030(~4.1 yrs left)· nominal 20-yr term from priority
A61P 3/04A61K 31/439C07D 405/06C07D 221/28A61K 31/551A61K 31/496A61K 31/519A61K 31/485A61K 9/20A61K 31/5513A61K 31/554
94
PatentIndex Score
10
Cited by
5
References
29
Claims
Abstract
The present invention relates to the discovery of a novel opioid modulator effective in reducing pharmacologically induced weight gain associated with atypical antipsychotic use. The present invention provides methods of reducing antipsychotic induced weight gain, methods for suppressing food intake and reducing ghrelin levels induced by atypical antipsychotic medications in a patient.
Claims
exact text as granted — not AI-modifiedWhat is claimed is:
1. A method of suppressing food intake comprising administering to the patient in need of treatment an effective amount of a compound of Formula I or pharmaceutically acceptable salt thereof,
wherein, A is chosen from —C(═O)NH 2 and —C(═S)NH 2 ;
R 1 and R 2 are both hydrogen or taken together R 1 and R 2 are ═O;
R 3 is chosen from hydrogen, alkyl, alkenyl, aryl, heterocyclyl and hydroxyalkyl;
R 4 is chosen from hydrogen, hydroxy, amino, alkoxy, C 1 -C 20 alkyl and C 1 -C 20 alkyl substituted with hydroxy or carbonyl;
R 5 is selected from hydrogen, hydroxyl, alkoxy and alkyl;
R 6 is chosen from hydrogen, hydroxy, alkoxy and —NR 10 R 11 ;
or together, R 5 and R 6 form a carbonyl or a vinyl substituent;
R 10 and R 11 are chosen independently from hydrogen and alkyl and aliphatic; and,
represents a single or double bond.
2. The method according to claim 1 , wherein said compound of Formula I is selected from a compound of Formula II or a pharmaceutically acceptable salt thereof,
wherein, R 3 , R 4 , R 5 , and R 6 are as defined above.
3. The method according to claim 2 , wherein
R 4 is selected from hydrogen and hydroxyl;
R 5 is selected from hydrogen, and hydroxyl; and
R 6 is hydrogen;
or together, R 5 and R 6 form a carbonyl or a vinyl substituent.
4. The method of claim 2 , wherein R 4 is hydroxyl; and together, R 5 and R 6 form a carbonyl substituent.
5. The method of claim 3 , wherein R 4 is hydroxyl; and together, R 5 and R 6 form a carbonyl substituent.
6. The method according to claim 1 , wherein the increased appetite is induced by administration of an atypical antipsychotic.
7. The method according to claim 6 , wherein the atypical antipsychotic is selected from olanzapine, clozapine, risperidone, quetiapine, aripiprazole, ziprasidone, and pharmaceutically acceptable salts thereof.
8. The method of claim 1 , wherein said compound of Formula I is administered in a daily dose of about 3 mg/day to about 30 mg/day.
9. The method according to claim 1 , wherein
R 4 is selected from hydrogen and hydroxyl;
R 5 is selected from hydrogen, and hydroxyl; and
R 6 is hydrogen;
or together, R 5 and R 6 form a carbonyl or a vinyl substituent.
10. The method of claim 9 , wherein R 4 is hydroxyl; and together, R 5 and R 6 form a carbonyl substituent.
11. The method of claim 1 , wherein R 4 is hydroxyl; and together, R 5 and R 6 form a carbonyl substituent.
12. The method according to claim 1 , wherein R 3 is selected from, hydrogen, cyclopropyl, cyclobutyl, vinyl, furan and tetrahydrofuran.
13. The method according to claim 1 , wherein said compound of Formula I is selected from:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
or a pharmaceutically acceptable salt thereof.
14. The method according to claim 13 , wherein the compound is:
or a pharmaceutically acceptable salt thereof.
15. A method of suppressing food intake comprising administering to the patient in need of treatment an effective amount of a composition comprising an atypical antipsychotic and a compound of Formula I or pharmaceutically acceptable salt thereof,
wherein, A is chosen from —C(═O)NH 2 and —C(═S)NH 2 ;
R 1 and R 2 are both hydrogen or taken together R 1 and R 2 are ═O;
R 3 is chosen from hydrogen, alkyl, alkenyl, aryl, heterocyclyl and hydroxyalkyl;
R 4 is chosen from hydrogen, hydroxy, amino, alkoxy, C 1 -C 20 alkyl and C 1 -C 20 alkyl substituted with hydroxy or carbonyl;
R 5 is selected from hydrogen, hydroxyl, alkoxy and alkyl;
R 6 is chosen from hydrogen, hydroxy, alkoxy and —NR 10 R 11 ;
or together, R 5 and R 6 form a carbonyl or a vinyl substituent;
R 10 and R 11 are chosen independently from hydrogen and alkyl and aliphatic; and,
represents a single or double bond.
16. The method according to claim 15 , wherein said compound of Formula I is selected from a compound of Formula II or a pharmaceutically acceptable salt thereof,
wherein, R 3 , R 4 , R 5 , and R 6 are as defined above.
17. The method according to claim 16 , wherein
R 4 is selected from hydrogen and hydroxyl;
R 5 is selected from hydrogen, and hydroxyl; and
R 6 is hydrogen;
or together, R 5 and R 6 form a carbonyl or a vinyl substituent.
18. The method of claim 16 , wherein R 4 is hydroxyl; and together, R 5 and R 6 form a carbonyl substituent.
19. The method of claim 17 , wherein R 4 is hydroxyl; and together, R 5 and R 6 form a carbonyl substituent.
20. The method according to claim 15 , wherein the atypical antipsychotic is selected from olanzapine, clozapine, risperidone, quetiapine, aripiprazole, ziprasidone, and pharmaceutically acceptable salts thereof.
21. The method according to claim 15 , wherein the increased appetite is induced by administration of an atypical antipsychotic.
22. The method according to claim 15 , wherein said compound of Formula I is administered in a daily dose of about 3 mg/day to about 30 mg/day.
23. The method according to claim 15 , wherein said composition is in the form of a tablet.
24. The method according to claim 15 , wherein
R 4 is selected from hydrogen and hydroxyl;
R 5 is selected from hydrogen, and hydroxyl; and
R 6 is hydrogen;
or together, R 5 and R 6 form a carbonyl or a vinyl substituent.
25. The method of claim 24 , wherein R 4 is hydroxyl; and together, R 5 and R 6 form a carbonyl substituent.
26. The method of claim 15 , wherein R 4 is hydroxyl; and together, R 5 and R 6 form a carbonyl substituent.
27. The method according to claim 15 , wherein R 3 is selected from, hydrogen, cyclopropyl, cyclobutyl, vinyl, furan and tetrahydrofuran.
28. The method according to claim 15 , wherein said compound of Formula I is selected from:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
or a pharmaceutically acceptable salt thereof.
29. The method according to claim 28 , wherein the compound is:
or a pharmaceutically acceptable salt thereof.Cited by (0)
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